Most Relevant Information
Provider Data
| NPI Number: | 1003556721 |
| Provider Name: | MICHAEL ANDREW MASTROIANNI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2022 |
| Last Updated: | 03/30/2022 |
Provider Practice Location
622 W 168TH ST
NEW YORK
NY
100323720
Practice Location Phone/Fax
| Phone: | 2123055976 |
| Fax: |
Provider Mailing Location
659 W 162ND ST APT 35
NEW YORK
NY
100324541
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |